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Restore Incorported
Substance Abuse Rehabilitation Facility in Fairbanks, Alaska
NPI 1497424949

Restore Incorported is a Substance Abuse Rehabilitation Facility based in Fairbanks, AK. Restore Incorported practices in Fairbanks, AK. The NPI Number for Restore Incorported is 1497424949 and holds a License No. (Alaska).

The current practice location address for Restore Incorported is 211 Cushman St, Fairbanks, AK and can be reached out via phone at 907-374-1097. You can also correspond with Restore Incorported through the mailing address at PO BOX 73004, FAIRBANKS, AK - 99707-3004 (mailing address contact number: 907-374-1097).

Location: 211 Cushman St, Fairbanks, AK, 99707-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497424949
Provider Name
Restore Incorported
Credential
Provider Entity Type
Organization
Address
211 Cushman St, Fairbanks, AK, 99707-3004
Phone Number
907-374-1097
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1687081 05 AK
institution
Provider Business Practice Location Address Details
Address
211 Cushman St
City
Fairbanks
State
Alaska
Zip
99701-4639
Phone Number
907-374-1097
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 73004
City
Fairbanks
State
Alaska
Zip
99707-3004
Phone Number
907-374-1097
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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